Interplay Between Service Era,PTSD Symptom Expression,and Treatment Completion Among Veterans

The current veteran population has grown significantly as a result of 3 recent major conflicts: Vietnam, Persian Gulf War, and Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF). Despite a strong presence in VA PTSD specialty clinics nationwide, little is known about how these veteran cohort groups differ in PTSD symptom presentation. Additionally, it is unclear how variations in PTSD symptom presentation may in turn affect treatment adherence and completion. Understanding factors associated with treatment dropout from exposure-based therapy for PTSD is an important area of study, as individuals who drop out of treatment are likely to remain symptomatic and experience significant impairment across a number of psychosocial domains. The present study examined the relationship between service theater affiliation and pretreatment symptom expression as predictors of treatment completion in a sample of 164 veterans. Although treatment completion did not differ by service era, study data revealed statistically significant differences in initial PTSD symptom expression. Implications of the results and future directions are discussed.     

Development of Cognitive Skills in Children with Motor Coordination Impairments at 12-Month Follow-up

The current study presents a 1-year follow-up investigation of the development of executive functions (i.e., inhibition, updating, and shifting) in children with motor coordination impairments. Cognitive and motor coordination skills of children (N = 94) aged between 5 and 7 years with and without motor coordination impairments were compared. A second focus of the study was on pre-academic skills. The results indicate marked stability of motor coordination impairments and persistent executive functioning deficits in motor-impaired children. Inhibition and shifting performance was consistently lower, compared to the children without motor coordination impairments. Moreover, children with motor coordination impairments showed lower pre-academic skills, facing a substantial disadvantage at the beginning of formal schooling. The combined cognitive and motor problems may be the result of an underlying inhibition deficit or a general automation deficit. Implications for intervention are discussed.     

Balancing Social Responsibility and Personal Autonomy: Adolescents’ Reasoning About Community Service Programs

Many jurisdictions in North America have implemented mandatory community service programs in high schools. However, little research exists examining the reasoning of youth themselves about such programs. This study examined how youth reason about community service programs, and how they balance the prosocial goals of these programs against their personal autonomy. Seventy-two participants between 10 and 18 years old evaluated voluntary community service along with 4 hypothetical mandatory programs that varied according to whether students or the government decided the areas in which students would serve, and whether a structured reflection component was included. The findings reveal that youth are not simply self-focused but rather balance and coordinate considerations of autonomy and community in their judgments and reasoning about community service.     

The Assessment of Post‐traumatic Stress Disorder for Workers' Compensation in Emergency Service Personnel

There is considerable debate concerning the diagnosis of post‐traumatic stress disorder (PTSD) in compensation claims. This study reviewed the quality of the assessment reports prepared by clinicians who evaluated 31 emergency service workers making PTSD‐related compensation claims. Assessments were conducted by 4‐year trained psychologists (39%), psychologists holding a masters degree (36%), and psychiatrists (19%). The assessment reports were evaluated relative to the diagnostic criteria for PTSD in the Diagnostic and Statistical Manual of Mental Disorders 4th edition (2000). In the majority of cases (81%), the assessor determined that the emergency service worker had PTSD, but only one report met the minimum standard for that diagnosis. In the majority (65%) of cases the clinician failed to address the possibility of malingering. These data suggest that clinical assessment reports for PTSD frequently fail to meet minimum assessment standards.     

Trunk-Assisted Prehension: Specification of Body Segments With Imposed Temporal Constraints

The authors used a trunk-assisted prehension task to examine intersegment coordination. Participants (N = 7) reached to grasp an object placed beyond full arm extension, thus requiring trunk flexion to achieve the target object, under 4 varying temporal constraints. Kinematic analyses were performed in which the motions of the arm, the trunk, and the endpoint were characterized. The spatial trajectories and the segments' peak velocity data revealed that under high temporal constraints the arm was more responsible for endpoint motion than the trunk, whereas in the unconstrained condition the trunk was more involved. In addition, the arm exhibited a decline in spatial variability toward the end of the movement in all conditions, whereas the trunk did not. The present study is the first to show that when temporal demand is increased for a trunk-assisted prehensile task, the arm plays a larger role than the trunk in the transport of the hand to the object The data also suggest that the arm participates in the fine accuracy control of the reach, whereas the trunk does not.     

A social-psychological perspective on tacit coordination: How it works,when it works, (and when it does not)

We present a programmatic line of experimental studies which focus on the how and when of tacit coordination (i.e., the phenomenon that people can successfully coordinate their decisions without communication). We investigated this phenomenon using different types of economic games (i.e., social dilemmas as well as coordination games). Our studies broadly cover three themes: (a) fairness as a coordination rule, (b) uncertainty and common understanding, (c) social information as a cue. By focusing on these themes we have obtained several new insights on the prerequisites and boundary conditions of tacit coordination. We conclude that tacit coordination is often facilitated by mutual adherence to social norms (e.g., fairness rules, rules of deference, etcetera), but that in order to employ such norms people need sufficient environmental and/or social information.     

Do motor ability and handwriting kinematic measures predict organizational ability among children with Developmental Coordination Disorders?

Background and aimChildren with Developmental Coordination Disorders (DCD) exhibit deficient daily performance concealed in their perception–action mechanism. The aim of this study was to analyze behavior organization of children with DCD, in varied tasks that require generating and monitoring mental representations related to space and time inputs/requirements, for achieving better insight about their perception–action mechanism.MethodParticipants included 42 children aged 7–10, half of whom were defined with DCD and half were typically developing (TD). The children were matched for age, gender and school. They were evaluated using the Movement–ABC and performed three handwriting tasks on an electronic tablet that is part of a computerized system (ComPET – Computerized Penmanship Evaluation Tool). In addition, their teachers completed the Questionnaire for Assessing Students’ Organizational Abilities-Teachers (QASOA-T) to assess the children’s daily organizational ability.ResultsSignificant group differences (DCD versus controls) were found for all handwriting kinematic measures across the three handwriting tasks and for the children’s organizational abilities. Motor ability predicted a considerable percentage of the variance of the kinematic handwriting measures (30–37%), as well as a high percentage of the variance of their organizational abilities (67%). The coefficient of variance of the pen tilt added an additional 3% to the prediction of their organizational abilities.ConclusionsThe results of this study exhibited deficient ability among children with DCD in organizing their behavior in varied real-world tasks requiring generation and monitoring representation related to space and time. The significance of the results to understanding the performance mechanism and implication to the clinical field are discussed.     

Les groupes de parole de prévention de la récidive en France : observation des effets produits

Recidivism prevention became the core of mission of the probation service in France. Support groups were created in order to bring probationers’ social skills to enhance their reentry into society. This article describes the effects of such groups by evaluation of their effects on 19 probationers divided into 4 groups. Observations show that the effects are different according to the apprehension of subject, mission and which pedagogy is employed. Different process produced different effects onto probationers.